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A <br /> SAN JOAOUIN COUNTY PUBLIC ALTH SERVICES Page 1 <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOC <br /> <br /> Account ID AR0017168 <br /> Facility ID FA0010168 <br /> Date Printed 2/1/01 <br /> GREG PIRNIK RE : P&C AUTO RECYCLER <br /> P&C AUTO RECYCLER 2520 W BYRON RD <br /> 2520 W BYRON RD TRACY CA 95376 20 <br /> TRACY CA 95376 <br /> OWNER : DAVID PIRNIK <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0080453---Date of Invoice: 1130/01 <br /> 1/30/2001 2220 SM HW GEN<5 TONS/YR $100.00 <br /> 1/30/2001 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 3/3/2001 <br /> TOTAL DUE this Billing Period $110.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10% <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> PAYMENT <br /> RECEIVED <br /> FEB 12 2001 <br /> ;OAO_'lN COUNTY <br /> H00H SERVICES <br /> IT�L HEALTH DIVISION <br /> 5255.rpt <br />